National Provider Identifier Database

GLEN J IANNUCCI, M.D. – NPI #1972787760
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

GLEN J IANNUCCI, M.D.
3300 OLD MILTON PKWY STE 100
ALPHARETTA, GA30005-2425
Phone: 404-256-2593
Fax: 770-488-9408
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for GLEN J IANNUCCI

NPI Number 1972787760
Credentials M.D.
Entity Individual
Enumeration date 12/28/2007
Last updated 04/23/2026 - About 1 months ago
Sole proprietor1 No
Identifiers
  • GA License #: 002845
  • GA License #: 064569
  • GA Medicaid: 003100495C
  • GA Other: 002845 RESTRAINING PERMIT #
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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